SEASONS SAGE (NPI# 1972085660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972085660 |
| Entity Type | Organization |
| Organization Name | SEASONS SAGE |
| Other Organization Name | BRADSHAW FAMILY DENTAL |
| Practice Address |
1260 S State Route 89 Ste G Chino Valley AZ 86323-6624 |
| Practice Telephone | 9282371305 |
| Practice Fax Number | 9282373038 |
| Mailing Telephone | 9282371305 |
| Mailing Fax Number | 9282373038 |
| Enumeration Date | 2018-08-30 |
| Last Update Date | 2018-08-30 |
| Authorized Official Name | DR. DAVID FRAUSTO (OWNER) |
| Authorized Official Telephone | 9282371305 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
D5639 | AZ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 722183 | 05 |
| Other Name | Type Code |
|---|---|
| Bradshaw Family Dental | Doing Business As Name - Organization |
| Street Address |
1260 S STATE ROUTE 89 STE G |
| City | CHINO VALLEY |
| State | AZ |
| Zip Code | 86323-6624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013558816 | Enbrace Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 743 East Road 2 N, Chino Valley, AZ 86323 | 2019-10-02 |
| 1164943197 | Kevin Ross Pullins | Spec/Tech, Cardiovascular | 605 Park Pl, Chino Valley, AZ 86323 | 2017-06-29 |
| 1255700779 | Deanna Hartsough | Chiropractor | 1352 Taft Ave, Chino Valley, AZ 86323 | 2015-09-15 |
| 1366824369 | Advanced Chiropractic Health Centre, LLC | Chiropractor | 2235 S Hwy 89 Ste B7, Chino Valley, AZ 86323 | 2015-06-25 |
| 1417360835 | Hospice Family Care, Inc. | Hospice Care, Community Based | 448 N Hwy 89, Suite G & H, Chino Valley, AZ 86323 | 2014-06-03 |
| 1053744268 | Sonora Quest Laboratories, LLC | Clinical Medical Laboratory | 1031 Az-89, Chino Valley, AZ 86323 | 2013-08-12 |
| 1891031696 | Jody Hoitt | Registered Nurse | 3455 W. Oak Creek Lane, Chino Valley, AZ 86323 | 2012-12-26 |
| 1508113275 | Augustine Fella Aworuwa | Pharmacist | 1020 State Route 89 North, Chino Valley, AZ 86323 | 2012-08-13 |
| 1104090737 | John R. Markham PC | Eyewear Supplier (Equipment, not the service) | 399 Palomino Road, Chino Valley, AZ 86323 | 2008-04-15 |
| 1962690289 | Nancy Louise Ethridge | Speech-Language Pathologist | 650 E. Center St, Chino Valley, AZ 86323 | 2007-10-11 |
| Find all providers in zip 86323 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619582756 | Maritza Sanchez-salazar Dds, Plc | Clinic/Center | 1578 N Hwy 89 Ste 1, Chino Valley, AZ 86323-7624 | 2020-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568063329 | Trombetta Dental Solutions | Clinic/Center | 13808 N Sandario Rd Ste 100, Marana, AZ 85653-8940 | 2020-11-06 |
| 1629676903 | Dental and Braces Dysart LLC | Clinic/Center | 1450 N Dysart Rd Ste A7, Avondale, AZ 85323-1534 | 2020-10-09 |
| 1255946257 | Tatum Point Dentistry LLC | Clinic/Center | 4747 E Bell Rd Ste 15, Phoenix, AZ 85032-2301 | 2020-09-15 |
| 1003421009 | Solterra Dentistry LLC | Clinic/Center | 15255 N 40th St Ste 111, Phoenix, AZ 85032-4636 | 2020-09-15 |
| 1699389510 | Ocotillo Dental Associates LLC | Clinic/Center | 11259 S Frontage Rd Ste 103, Yuma, AZ 85367-7883 | 2020-09-08 |
| 1144832940 | Kingman Dental Professionals, LLC | Clinic/Center | 3775 N Stockton Hill Rd, Kingman, AZ 86409-3219 | 2020-08-21 |
| 1336751536 | Smile Nuvo | Clinic/Center | 2142 W Red Fox Rd, Phoenix, AZ 85085-5458 | 2020-08-19 |
| 1396354205 | Freedom Dental, Pllc | Clinic/Center | 6328 E Brown Rd Ste 105, Mesa, AZ 85205-4841 | 2020-07-27 |
| 1649888629 | Whitney A Sebree, Dmd Pllc | Clinic/Center | 15331 W Bell Rd Ste 204, Surprise, AZ 85374-4104 | 2020-07-16 |
| 1912520347 | Dr. Reese Turner, Dds, PC | Clinic/Center | 9059 W Lake Pleasant Pkwy Ste A100, Peoria, AZ 85382-8393 | 2020-05-20 |
| Find all providers with the same taxonomy | ||||
| City | CHINO VALLEY |
| Zip Code | 86323 |
Please comment or provide details below to improve the information on SEASONS SAGE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.